夫时气衄血者。由五脏热结所为。心主于血。邪热中于手少阴之经。客于足阳明之络。
故衄血也。衄者。血从鼻中出也。
治时气鼻衄。烦躁不止。头痛气逆。宜服石膏饮子方。
石膏（二两捣碎） 甘草（半两炙微赤锉） 赤芍药（一两） 黄芩（一两） 柴胡（一
两去苗）
桂心（半两） 生地黄（三两） 竹茹（二两）
上件药。细锉和匀。每服半两。先以水一大盏半。浸伏龙肝二两。澄取清一大盏。煎至
五分。去滓。不计时候。温服。
治时气心腹中热。鼻衄不止方。
胡粉（炒令黑细研） 干姜（炮裂杵为末） 乱发灰（细研） 釜底墨（细研） 伏龙
（细研）
上件药。但得一味。吹于鼻中便止。若各吹一大豆许。更效。
治时气鼻衄。心膈躁闷。面赤目黄。起卧不定方。
乌贼鱼骨（二两） 刺蓟（二两） 蒲黄（二两）
上件药。捣细罗为散。每服不计时候。以冷粥饮。调下二钱。频服。以定为度。
治时气鼻衄。诸药无效者。宜服此方。
白马通（七枚绞取浓汁） 阿胶（半两杵碎炒令黄燥为末）
上件药。相和熟搅。以滴鼻中。仍用新汲水微浸足。即止。
治时气鼻衄。日夜不止。面色如金黄方。
上取韭根一握。捣取汁。 中盛。以索悬于井中。浸良久。急取出。滴二七滴于鼻中。
即止。
治时气鼻衄不止方。
上以郁金捣罗为末。每服不计时候。以冷水调下二钱。以定为度。
又方。
熟艾（一鸡子大） 牛皮胶（一片如手大杵碎炒令黄燥）
上件药。以豉汁二大盏。煎取一大盏。去滓。分温二服。
Epistaxis (nosebleed) occurring in the context of seasonal pathogens is caused by the accumulation of heat in the five zang organs. The Heart governs blood. When pathogenic heat invades the Hand-Shaoyin (Heart) meridian and lodges in the collaterals of the Foot-Yangming (Stomach) meridian, epistaxis occurs. "Nu" refers to bleeding from the nose.
For treating epistaxis due to seasonal pathogens, accompanied by incessant restlessness, headache, and rebellious qi, the Shigao Yinzi (Gypsum Decoction) is indicated.
Ingredients: Shigao (Gypsum Fibrosum, 2 liang, crushed), Gancao (Licorice Root, 0.5 liang, honey-fried until slightly red and cut), Chishao Yao (Red Peony Root, 1 liang), Huangqin (Scutellaria Root, 1 liang), Chai Hu (Bupleurum Root, 1 liang, with sprouts removed), Guixin (Cinnamon Twig, 0.5 liang), Sheng Di Huang (Rehmannia Root, 3 liang), Zhu Ru (Bamboo Shavings, 2 liang).
Preparation and Administration: Finely cut and mix the above ingredients evenly. Take 0.5 liang per dose. First, soak 2 liang of Fulonggan (Hearth Earth) in 1.5 large bowls of water, clarify, and take 1 large bowl of the clear liquid. Decoct until one-fifth remains, strain, and take warm at any time.
A formula for treating heat in the heart and abdomen due to seasonal pathogens with incessant epistaxis.
Ingredients: Hufen (Lead Carbonate, fried until black and fine, ground), Gan Jiang (Dried Ginger, processed until cracked, pounded into powder), Luang Fa Hui (Ash of Tangled Hair, finely ground), Fudi Mo (Soot from the Cauldron Bottom, finely ground), Fulonggan (Hearth Earth, finely ground).
Preparation and Administration: Any one of the above ingredients may be used. Blow it into the nasal cavity to stop bleeding. If each ingredient is blown in an amount equivalent to a soybean, the effect is even better.
A formula for treating epistaxis due to seasonal pathogens, accompanied by restlessness and oppression in the chest and diaphragm, flushed face, yellow eyes, and inability to sit or lie still.
Ingredients: Wuzhou Yu Gu (Cuttlefish Bone, 2 liang), Ciji (Acanthopanacis Tricnophylli Radix, 2 liang), Puhuang (Pollen Typhae, 2 liang).
Preparation and Administration: Pound the above ingredients finely and sieve them into a powder. Take 2 qian per dose at any time, mixed with cold rice decoction. Administer frequently until symptoms cease.
For cases of epistaxis due to seasonal pathogens where other medicines have been ineffective, this formula is suitable.
Ingredients: Baima Tong (White Horse Dung, 7 pieces, squeezed to obtain thick juice), Ejiao (Donkey-Hide Glue, 0.5 liang, crushed and fried until yellow and dry, then powdered).
Preparation and Administration: Mix the above ingredients thoroughly and stir well. Drip into the nasal cavity. Simultaneously, soak the feet slightly in fresh well water; the bleeding will stop.
A formula for treating epistaxis due to seasonal pathogens that persists day and night, with the face appearing golden-yellow.
Preparation and Administration: Take a handful of Jiu Gen (Allium Tuberosum Root), pound and extract the juice. In midsummer, suspend it in a well using a rope, let it soak for a long time, then quickly remove it. Drip 14 drops into the nasal cavity; the bleeding will stop.
A formula for treating incessant epistaxis due to seasonal pathogens.
Preparation and Administration: Take Yujin (Curcuma Longa Rhizome), pound and sieve it into a powder. Take 2 qian per dose at any time, mixed with cold water. Continue until symptoms cease.
Another formula.
Ingredients: Shu Ai (Processed Mugwort Leaf, size of a chicken egg), Niupijiao (Ox Hide Glue, a piece the size of a hand, crushed and fried until yellow and dry).
Preparation and Administration: Decoct in 2 large bowls of Dou Chi Jiang (Fermented Soybean Juice) to obtain 1 large bowl. Strain and divide into two warm doses.